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CTRI Number  CTRI/2026/01/102244 [Registered on: 28/01/2026] Trial Registered Prospectively
Last Modified On: 19/05/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A CBCT Study to Compare Two Different Tools Used for Apical Plug Formation in Immature Permanent Teeth 
Scientific Title of Study   Comparative evaluation of two different tools for creating an apical plug in immature permanent teeth- a CBCT study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shweta Bagade 
Designation  Pg Trainee 
Affiliation  SCB dental college and hospital, Cuttack 
Address  Department of Pediatric and Preventive Dentistry, SCB dental college and hospital, Cuttack

Cuttack
ORISSA
753007
India 
Phone  9987152574  
Fax    
Email  bagadeshweta2574@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Prayas Ray 
Designation  Associate Professor 
Affiliation  SCB dental college and hospital, Cuttack 
Address  Department of Pediatric and Preventive Dentistry, SCB dental college and hospital, Cuttack

Cuttack
ORISSA
753007
India 
Phone  9861421455  
Fax    
Email  askdrprayas@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shweta Bagade 
Designation  PG Trainee 
Affiliation  SCB dental college and hospital, Cuttack 
Address  Department of Pediatric and Preventive Dentistry, SCB dental college and hospital, Cuttack

Cuttack
ORISSA
753007
India 
Phone  9987152574  
Fax    
Email  bagadeshweta2574@gmail.com  
 
Source of Monetary or Material Support  
SCB Dental College and Hospital, Manglabag, Professors Colony, Cuttack, Odisha 753007  
 
Primary Sponsor  
Name  Shweta Bagade 
Address  Department of Pediatric and Preventive Dentistry, SCB dental college and hospital, Cuttack 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shweta Bagade  SCB Dental College and Hospital, Cuttack  PG Department of Pediatric and Preventive Dentistry
Cuttack
ORISSA 
9987152574

bagadeshweta2574@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE, SCB DENTAL COLLEGE AND HOSPITAL, CUTTACK  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: A499||Bacterial infection, unspecified, (2) ICD-10 Condition: A499||Bacterial infection, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  MTA apical plug using e-MTA carrier  MTA apical plug (3–5 mm) was placed in a single visit using a e-MTA carrier under rubber dam isolation. The thickness and position of the apical plug were confirmed radiographically. Obturation was completed after 24 hours following confirmation of MTA set. Patients were subsequently followed up clinically at 1, 6, and 12 months to evaluate treatment outcomes. 
Intervention  MTA apical plug using spinal needle  MTA apical plug (3–5 mm) was placed in a single visit using a sterile spinal needle under rubber dam isolation. The thickness and position of the apical plug were confirmed radiographically. Obturation was completed after 24 hours following confirmation of MTA set. Patients were subsequently followed up clinically at 1, 6, and 12 months to evaluate treatment outcomes. 
 
Inclusion Criteria  
Age From  8.00 Year(s)
Age To  11.00 Year(s)
Gender  Both 
Details  1.Teeth with Cveks criteria score 3 and 4
2.Children exhibiting Ellis class IV anterior tooth fracture
3.Traumatically involved young maxillary central incisors
4.Teeth having sufficient crown structure for full coverage or semi-permanent restorations
5.Periapical index score less than 3 will be included in the study 
 
ExclusionCriteria 
Details  1.Teeth with more than two third root resorption radiographically
2.Children with systemic disorder
3.Teeth with root caries
4.Teeth with excessive mobility
5.Teeth with root fracture
 
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1.Time taken for apical plug formation in seconds
2.Presence or absence of voids.
3.Thickness of apical plug
4.Extrusion of material beyond apex
5.Root fractures
 
CBCT evaluation of apical plug will be done during the same visit
 
 
Secondary Outcome  
Outcome  TimePoints 
1. Pain
2. Tenderness on percussion.
3. Presence or absence of sinus / fistula.


1. Pain
2. Tenderness on percussion.
3. Presence or absence of sinus / fistula.


 
The following parameters are evaluated during 1 , 6, 12 month follow up 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   09/02/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This randomized controlled study will be carried out in SCB Dental College and Hospital Cuttack, Odisha to compare the efficacy of an e-MTA carrier and a spinal needle for MTA apical plug placement in immature permanent teeth. Eligible children with traumatically involved immature maxillary central incisors will be randomly allocated into two study groups based on the tool used. Parameters evaluated include time taken for apical plug formation during the procedure, CBCT-based assessment of apical plug thickness, voids, material extrusion after apical plug formation and root fractures. Clinical evaluation will be done to assess treatment outcome during the follow-up period.  
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